The Effect of Joint Mobilization on Dynamic Postural Control in Patients With Chronic Ankle Instability: A Critically Appraised Topic

in Journal of Sport Rehabilitation

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Kyle B. Kosik
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Phillip A. Gribble
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DOI:
https://doi.org/10.1123/jsr.2016-0074
Keywords:
ankle sprain; dynamic postural control; manual therapy
In Print:
Volume 27: Issue 1
Page Range:
103–108
Restricted access

Clinical Scenario: Dorsiflexion range of motion is an important factor in the performance of the Star Excursion Balance Test (SEBT). While patients with chronic ankle instability (CAI) commonly experience decreased reach distances on the SEBT, ankle joint mobilization has been suggested to be an effective therapeutic intervention for targeting dorsiflexion range of motion. Clinical Question: What is the evidence to support ankle joint mobilization for improving performance on the SEBT in patients with CAI? Summary of Key Findings: The literature was searched for articles examining the effects of ankle joint mobilization on scores of the SEBT. A total of 3 peer-reviewed articles were retrieved, 2 prospective individual cohort studies and 1 randomized controlled trial. Only 2 articles demonstrated favorable results following 6 sessions of ankle joint mobilization. Clinical Bottom Line: Despite the mixed results, the majority of the available evidence suggests that ankle joint mobilization improves dynamic postural control. Strength of Recommendation: In accordance with the Centre of Evidence Based Medicine, the inconsistent results and the limited high-quality studies indicate that there is level C evidence to support the use of ankle joint mobilization to improve performance on the SEBT in patients with CAI.

Kosik and Gribble are with the Dept of Rehabilitation Sciences, University of Kentucky, Lexington, KY.

Gribble (phillip.gribble@uky.edu) is corresponding author.
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Journal of Sport Rehabilitation

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  • 1.

    Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007;42(2):311–319. PubMed

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Gribble PA, Delahunt E, Bleakley C, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International ankle consortium. Br J Sports Med. 2014;48(13):1014–1018. PubMed doi:10.1136/bjsports-2013-093175

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Gribble PA, Hertel J, Plisky P. Using the star excursion balance test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. J Athl Train. 2012;47(3):339–357. PubMed doi:10.4085/1062-6050-47.3.08

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Gabriner ML, Houston MN, Kirby JL, Hoch MC. Contributing factors to star excursion balance test performance in individuals with chronic ankle instability. Gait Posture. 2015;41(4):912–916. PubMed doi:10.1016/j.gaitpost.2015.03.013

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Wikstrom EA, Hubbard TJ. Talar positional fault in persons with chronic ankle instability. Arch Phys Med Rehabil. 2010;91(8):1267–1271. PubMed doi:10.1016/j.apmr.2010.04.022

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Hoch MC, Andreatta RD, Mullineaux DR, et al. Two-week joint mobilization intervention improves self-reported function, range of motion, and dynamic balance in those with chronic ankle instability. J Orthop Res. 2012;30(11):1798–1804. PubMed doi:10.1002/jor.22150

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Gilbreath JP, Gaven SL, Van Lunen L, Hoch MC. The effects of mobilization with movement on dorsiflexion range of motion, dynamic balance, and self-reported function in individuals with chronic ankle instability. Man Ther. 2014;19(2):152–157. PubMed doi:10.1016/j.math.2013.10.001

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Cruz-Diaz D, Lomas Vega R, Ozuma-Perez MC, Hita-Contreras F, Martinez-Amat A. Effects of joint mobilization on chronic ankle instability: a randomized controlled trial. Disabil Rehabil. 2014:37(7):601–610. PubMed doi:10.3109/09638288.2014.935877

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Terada M, Harkey MS, Wells AM, Pietrosimone BG, Gribble PA. The influence of ankle dorsiflexion and self-reported patient outcomes on dynamic postural control in participants with chronic ankle instability. Gait Posture. 2014;40(1):193–197. PubMed doi:10.1016/j.gaitpost.2014.03.186

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    McKeon PO, Booi MJ, Branam B, Johnson DL, Mattacola CG. Lateral ankle ligament anesthesia significantly alters single limb postural control. Gait Posture. 2010;32(3):374–377. PubMed doi:10.1016/j.gaitpost.2010.06.016

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Hoch MC, McKeon PO. Joint mobilization improves spatiotemporal postural control and range of motion in those with chronic ankle instability. J Orthop Res. 2011;29(3):326–332. PubMed doi:10.1002/jor.21256

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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